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SOP for Drug-Device Combination Products Oversight

Posted on September 30, 2025 digi By digi

SOP for Drug-Device Combination Products Oversight

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Published on 22/12/2025

Standard Operating Procedure for Drug-Device Combination Products Oversight

SOP No. CR/OPS/108/2025
Supersedes NA
Page No. 1 of 46
Issue Date 26/08/2025
Effective Date 01/09/2025
Review Date 01/09/2026

Table of Contents

Toggle
  • Purpose
  • Scope
  • Responsibilities
  • Accountability
  • Procedure
  • Abbreviations
  • Documents
  • References
  • Approval Section
  • Annexures
  • Revision History

Purpose

The purpose of this SOP is to establish standardized oversight procedures for clinical trials involving drug-device combination products. It ensures that both drug and device components are managed, documented, and

monitored in compliance with global regulatory requirements, maintaining subject safety and data integrity.

Scope

This SOP applies to sponsors, investigators, CROs, vendors, and site staff engaged in the conduct of drug-device combination clinical trials. It covers accountability, labeling, storage, calibration, quality oversight, safety monitoring, adverse event reporting, and regulatory submissions.

See also  SOP for HRA/REC Interface and UK Site Approvals

Responsibilities

  • Sponsor: Ensures oversight of drug-device combination products, including regulatory compliance and quality management.
  • Investigator/Site Staff: Maintain accountability and logs for both drug and device components.
  • CRO: Monitors site compliance and supports sponsor oversight.
  • QA: Audits documentation and verifies compliance with GCP.
  • Vendors: Provide calibration, labeling, and certification support.

Accountability

The Sponsor’s Quality Lead is accountable for ensuring drug-device combination product compliance. Investigators are accountable for site-level management of products. QA is accountable for verification and audit readiness.

Procedure

1. Product Receipt and Accountability
1.1 Record receipt of drug-device products in the Combination Product Accountability Log (Annexure-1).
1.2 Verify labeling, packaging, and integrity upon receipt.
1.3 Store products according to defined environmental conditions.

2. Labeling and Identification
2.1 Ensure labeling includes “For Clinical Trial Use Only” and UDI identifiers.
2.2 Document labeling in the Labeling Log (Annexure-2).

3. Storage and Handling
3.1 Store per drug storage guidelines (e.g., temperature, humidity) and device requirements (e.g., calibration status).
3.2 Restrict access to authorized personnel only.

4. Calibration and Maintenance
4.1 Ensure device components undergo calibration per manufacturer requirements.
4.2 Record activities in Calibration and Maintenance Log (Annexure-3).

5. Risk Management
5.1 Conduct risk assessment for drug-device interactions and trial-specific risks.
5.2 Document in Risk Assessment Log (Annexure-4).

See also  SOP for EudraVigilance SUSAR/ICSR Submissions and Follow-Ups

6. Safety Monitoring and AE Reporting
6.1 Monitor both drug and device components for adverse events or malfunctions.
6.2 Report adverse events, device deficiencies, and malfunctions to sponsor, EC/IRB, and regulators as applicable.

7. Regulatory Submissions
7.1 Submit required documentation for combination products to FDA, EMA, CDSCO, or other authorities.
7.2 Maintain submission records in Regulatory Submission Log (Annexure-5).

8. Archiving
8.1 Archive all accountability, labeling, and safety records in TMF/ISF.
8.2 Retain as per regional archiving regulations.

Abbreviations

  • SOP: Standard Operating Procedure
  • QA: Quality Assurance
  • CRO: Contract Research Organization
  • TMF: Trial Master File
  • ISF: Investigator Site File
  • AE: Adverse Event
  • UDI: Unique Device Identification
  • FDA: Food and Drug Administration
  • EMA: European Medicines Agency
  • CDSCO: Central Drugs Standard Control Organization
  • WHO: World Health Organization

Documents

  1. Combination Product Accountability Log (Annexure-1)
  2. Labeling Log (Annexure-2)
  3. Calibration and Maintenance Log (Annexure-3)
  4. Risk Assessment Log (Annexure-4)
  5. Regulatory Submission Log (Annexure-5)

References

  • FDA – Combination Products Guidance
  • EMA – Clinical Trials with Combination Products
  • CDSCO – Combination Product Regulations
  • ICH GCP – Combination Products Oversight
  • WHO – Global Oversight of Combination Trials

Version: 1.0

Approval Section

Prepared By Ravi Kumar, Clinical Operations Specialist
Checked By Sunita Reddy, QA Officer
Approved By Dr. Anil Sharma, Head Clinical Operations
See also  SOP for Managing Regulatory Inspections and Responses

Annexures

Annexure-1: Combination Product Accountability Log

Date Product ID Drug Component Device Component Received By Status
01/09/2025 CP-101 Injectable Drug Infusion Pump Site Coordinator Received

Annexure-2: Labeling Log

Date Product ID Label Text Applied By Verified By
05/09/2025 CP-101 For Clinical Trial Use Only Packaging Team QA Officer

Annexure-3: Calibration and Maintenance Log

Date Device Component Activity Performed By Status
10/09/2025 Infusion Pump Calibration Vendor Engineer Completed

Annexure-4: Risk Assessment Log

Date Product ID Risk Identified Impact Mitigation
12/09/2025 CP-101 Incorrect infusion rate High Double verification at site

Annexure-5: Regulatory Submission Log

Date Agency Submission Type Submitted By Status
20/09/2025 FDA Combination Product IND Regulatory Affairs Submitted

Revision History

Revision Date Revision No. Revision Details Reason for Revision Approved By
26/08/2025 00 Initial version New SOP creation Head Clinical Operations

For more SOPs visit: Pharma SOP

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